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2018 Maryland Medicare Part D Prescription Drug Plan Highlights

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2018 Maryland Stand-Alone Prescription Drug Plan Highlights
CMS PDP Region 5
Print Version

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The information below is for research purposes. Enrollment in the 2018 plans is no longer available.

Lowest Premium Medicare Part D Plan (PDP) in Maryland
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Plan Name Plan ID			Monthly Prem.	Dedu- ctible	(Donut Hole) Additional Gap Coverage	Preferred Pharmacy Copay/Coinsurance 30-Day Supply		Total Formulary Drugs
EnvisionRxPlus (PDP) (S7694-005) Benefit Details			$12.60	$300	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $1.00 Generic: $6.00 Preferred Brand: $29.00 Non-Preferred Drug: 39% Specialty Tier: 27%		2,963 Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:

Lowest Premium $0 Deductible MD Prescription Drug Plan (PDP)
Click here to see all Maryland $0 deductible PDP plans by premium lowest to highest
Plan Name Plan ID			Monthly Prem.	Dedu- ctible	Additional Gap Coverage	Preferred Pharmacy Copay/Coinsurance		Total Drugs
SilverScript Choice (PDP) (S5601-010) Benefit Details			$29.50	$0	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $9.00 Generic: $19.00 Preferred Brand: $46.00 Non-Preferred Drug: 49% Specialty Tier: 33%		2,995 Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:

Five (5) Most Popular Medicare Part D Plans (PDP) in Maryland
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Plan Name Plan ID	Monthly Prem.	Dedu- ctible	Additional Gap Coverage	Preferred Pharmacy Copay/Coinsurance	State Members
AARP MedicareRx Preferred (PDP) (S5820-004) Benefit Details	$76.50	$0	Yes, some additional gap coverage.	Preferred Generic: $7.00 Generic: $12.00 Preferred Brand: $37.00 Non-Preferred Drug: 40% Specialty Tier: 33%	87,868 Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
SilverScript Choice (PDP) (S5601-010) Benefit Details	$29.50	$0	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $9.00 Generic: $19.00 Preferred Brand: $46.00 Non-Preferred Drug: 49% Specialty Tier: 33%	87,342 Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Humana Walmart Rx Plan (PDP) (S5884-151) Benefit Details	$20.40	$405	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $1.00 Generic: $4.00 Preferred Brand: 23% Non-Preferred Drug: 35% Specialty Tier: 25%	45,604 Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Aetna Medicare Rx Saver (PDP) (S5810-039) Benefit Details	$30.30	$350	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $1.00 Generic: $2.00 Preferred Brand: $30.00 Non-Preferred Drug: 35% Specialty Tier: 26%	34,701 Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
AARP MedicareRx Saver Plus (PDP) (S5921-350) Benefit Details	$28.90	$405	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $1.00 Generic: $5.00 Preferred Brand: $34.00 Non-Preferred Drug: 41% Specialty Tier: 25%	33,831 Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:

Maryland Medicare Prescription Drug Plans (PDP) Under $30
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Plan Name Plan ID	Monthly Prem.	Dedu- ctible	Additional Gap Coverage	Preferred Pharmacy Copay/Coinsurance	Total Drugs
EnvisionRxPlus (PDP) (S7694-005) Benefit Details	$12.60	$300	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $1.00 Generic: $6.00 Preferred Brand: $29.00 Non-Preferred Drug: 39% Specialty Tier: 27%	2,963 Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Aetna Medicare Rx Select (PDP) (S5810-279) Benefit Details	$17.70	$405	Yes, some additional gap coverage.	Preferred Generic: $0.00 Generic: $3.00 Preferred Brand: $47.00 Non-Preferred Drug: 42% Specialty Tier: 25%	3,737 Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Humana Walmart Rx Plan (PDP) (S5884-151) Benefit Details	$20.40	$405	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $1.00 Generic: $4.00 Preferred Brand: 23% Non-Preferred Drug: 35% Specialty Tier: 25%	3,055 Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Express Scripts Medicare - Saver (PDP) (S5660-221) Benefit Details	$22.60	$405	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $1.00 Generic: $4.00 Preferred Brand: 18% Non-Preferred Drug: 44% Specialty Tier: 25%	2,806 Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Symphonix Value Rx (PDP) (S0522-006) Benefit Details	$25.50	$405	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $1.00 Generic: $3.00 Preferred Brand: $35.00 Non-Preferred Drug: 25% Specialty Tier: 25%	3,277 Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Express Scripts Medicare - Value (PDP) (S5660-107) Benefit Details	$26.00	$405	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $1.00 Generic: $3.00 Preferred Brand: $18.00 Non-Preferred Drug: 47% Specialty Tier: 25%	2,931 Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
AARP MedicareRx Walgreens (PDP) (S5921-387) Benefit Details	$26.70	$405	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $0.00 Generic: $6.00 Preferred Brand: $31.00 Non-Preferred Drug: 32% Specialty Tier: 25%	2,884 Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
AARP MedicareRx Saver Plus (PDP) (S5921-350) Benefit Details	$28.90	$405	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $1.00 Generic: $5.00 Preferred Brand: $34.00 Non-Preferred Drug: 41% Specialty Tier: 25%	2,954 Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
SilverScript Choice (PDP) (S5601-010) Benefit Details	$29.50	$0	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $9.00 Generic: $19.00 Preferred Brand: $46.00 Non-Preferred Drug: 49% Specialty Tier: 33%	2,995 Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
WellCare Classic (PDP) (S4802-079) Benefit Details	$29.90	$405	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $0.00 Generic: $1.00 Preferred Brand: $37.00 Non-Preferred Drug: 48% Specialty Tier: 25%	2,989 Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Cigna-HealthSpring Rx Secure (PDP) (S5617-214) Benefit Details	$29.90	$405	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $2.00 Generic: $6.00 Preferred Brand: $35.00 Non-Preferred Drug: 40% Specialty Tier: 25%	3,191 Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:

A few notes to help with the understanding of the 2018 Medicare Part D Plan chart above.

Plan Name: This is the official plan name from the Centers for Medicare and Medicaid Services (CMS)
Plan ID: This is the unique id for this particular plan.
Deductible: This is the $405 deductible that was presented in the CMS Standard Plan. Many provider’s plans do not have a deductible, however the premium may be higher.
Coverage Gap the Donut Hole: In the CMS Standard Plan, the beneficiary must pay the next $3758.75 in drug costs (the Donut Hole). The Healthcare Reform provides that for Plan Year 2018, ALL formulary generics will have at least a 56% discount and ALL brand drugs will have at least a 65% discount in the coverage gap. The Gap Coverage Types discussed in this section are in addition to the Healthcare Reform mandated discounts. In our chart, you will see one of the following:
- No Gap Coverage: you must pay the $3758.75;
- Yes: This plan offers some level of gap coverage.
Number of Formulary Drugs: This is the total number of drugs on the plan's formulary (drug list).
Members in this Plan: The number of members currently enrolled in the plan.

(Chart Source: Centers for Medicare and Medicaid file 2018 PDP Landscape Source file)

Please note: The above plan information comes from CMS. We make every attempt to keep our information up-to-date with plan/premium changes. However, we cannot guarantee the accuracy of this information. Through the application process we will provide you with the most up-to-the-minute information/pricing.